Zonse zokhudza opaleshoni ya Laminectomy ya ululu wa msana. Musachite mantha, tiyeni tikambirane!

Kodi mulinso ndi ululu wosapiririka kumbuyo kwanu, khosi, kapena miyendo? Kodi nthawi zina mumamva dzanzi komanso opanda moyo ndi ululuwu? Ndiye dokotala wanu mwina anakuuzani za opaleshoni yotchedwa Laminectomy. Dzinalo likumveka loopsa pang'ono. Koma musadandaule. Tiyeni tikambirane izi mosavuta, m'njira yomwe aliyense angamvetse.

Kodi opaleshoni ya laminectomy ndi chiyani?

Mwachidule, opaleshoni ya laminectomy ndi mtundu wa opaleshoni ya msana. Msana wathu umapangidwa ndi mafupa ang'onoang'ono omwe amaikidwa pamwamba pa wina ndi mnzake. Awa amatchedwa vertebrae. Msana uliwonse uli ndi gawo laling'ono longa arch kumbuyo lotchedwa lamina. Mu opaleshoni iyi, dokotalayo amachotsa gawo kapena lamina yonse.

N’chifukwa chiyani timachita zimenezo? Kuchita zimenezi kumawonjezera malo omwe mitsempha ya msana ndi msana wathu imagwirira ntchito. Mitsempha yopanikizika imatulutsidwa. Kenako, timapeza mpumulo waukulu ku ululu wosapiririka komanso dzanzi.

Nchifukwa chiyani muyenera opaleshoni ya laminectomy?

Chifukwa chachikulu cha izi ndi kuchepa kwa ngalande ya msana. M'mawu azachipatala, timatcha izi spinal stenosis . Pamene tikukalamba, kapena pazifukwa zina, njira yomwe chingwe cha msana chimadutsa imatha kupapatiza. Kenako mitsempha yomwe ili mkati mwake imayamba kupsinjika. Izi zingayambitse zizindikiro zosiyanasiyana.

Opaleshoni ya Laminectomy ingakhale yofunikira pazifukwa zina zingapo kupatula spinal stenosis.

• Nyamakazi : Kutupa ndi kupweteka kwa mafupa.
• Kutupa kwa mafupa: Kutupa kwa mafupa komwe kumamera kunja kwa msana kumatha kukakamiza mitsempha.
• Disiki yopangidwa ndi herniated: Chidutswa chonga jelly pakati pa vertebrae chimatuluka ndikukankhira mitsempha.
• Matenda a Degenerative Disk : Khushoni pakati pa mafupa a msana imachepa ndi ukalamba.
• Ziphuphu za msana: Nthawi zina zotupazi zimatha kupangika pafupi ndi mitsempha ndipo zimayambitsa kupanikizika.
• Matenda a msana: Matenda opatsirana omwe amakhudza msana.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu adzakupatsani malangizo atsatanetsatane a momwe mungakonzekere musanachite opaleshoni. Izi zingaphatikizepo:

• Pezani mayeso atsopano ojambulira: Dokotala wanu angakupatseni ma X-ray kapena ma MRI scan kuti mupeze chithunzi chomveka bwino cha msana wanu.
• Siyani kumwa mankhwala ena: Mankhwala ena omwe mumamwa (kuphatikizapo mavitamini ndi zowonjezera ) angakhudze opaleshoni ndi njira yochiritsira. Choncho imwani mankhwala okhawo omwe dokotala wanu wakuuzani .
• Pewani kusuta: Ngati mukusuta, mumakhala ndi mavuto ambiri musanachite opaleshoni komanso mutachita opaleshoni. Ngati mukuvutika kusiya, lankhulani ndi dokotala wanu za vutoli.
• Konzani zoti mupumule: Simungathe kugwira ntchito yolemetsa kwa kanthawi mukatha opaleshoni. Choncho, konzekerani zinthu zanu zapakhomo pasadakhale. Chitani ntchito zambiri zapakhomo momwe mungathere.
• Uzani achibale ndi anzanu: Ndi mphamvu yaikulu kukhala ndi munthu woti akuthandizeni pamene mukuchira.
• Musadye kapena kumwa chilichonse pambuyo pa pakati pausiku usiku woti opaleshoni ichitike: Izi ndizofunikira kwambiri. Tsatirani malangizo a dokotala molondola.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Opaleshoni iyi imachitika pansi pa anesthesia wamba.Izi zikutanthauza kuti simudzamva chilichonse, mudzakhala mutulo tofa nato. Dokotala wogonetsa anthu ogonetsa ndi gulu lake adzayang'anira mosamala chilichonse kuyambira kugunda kwa mtima wanu mpaka kupuma kwanu panthawi yonse ya opaleshoni.

Nazi njira zochitira opaleshoniyi:

1. Mankhwala Oletsa Kugona: Mudzagonekedwa tulo tofa nato mwa kuyika chophimba nkhope pankhope panu kapena kubaya mankhwala m'mitsempha yomwe ili m'dzanja lanu.

2. Malo: Mudzatembenuzidwa nkhope yanu pansi kuti zikhale zosavuta kuchita opaleshoni ya msana.

3. Kucheka khungu: Kucheka pang'ono kumachitika pakhungu la kumbuyo pamwamba pa malo opweteka.

4. Kuchotsa Lamina: Dokotala adzakoka minofu pambali kuti awonetse msana. Kenako, zidutswa zilizonse za mafupa, mafupa, kapena mitsempha yomwe ikukankhira mitsempha imadulidwa ndikuchotsedwa. Izi zimatchedwa decompression .

5. Maopaleshoni ena ngati pakufunika: Nthawi zina, maopaleshoni ena angachitike nthawi yomweyo ndi opaleshoni iyi. Mwachitsanzo, opaleshoni yolumikiza mafupa a msana , yomwe imagwirizanitsa mafupa angapo a msana kuti ikhazikitse msana, kapena opaleshoni ya diskectomy , yomwe imachotsa herniated disc.

Opaleshoni iyi nthawi zambiri imatenga pafupifupi maola 1-3, koma nthawi imatha kusiyana malinga ndi zovuta za vuto lanu. Pomaliza, kudulako kumatsekedwa ndi zosokera kapena zomangira. Kenako mumatembenuzidwanso kumbali yanu ndipo mankhwala oletsa ululu amasiya.

Pambuyo pa opaleshoni ndi kubwerera kunyumba

Pambuyo pa opaleshoni, mudzatengedwera ku chipinda chothandizira odwala omwe angoyamba kumene opaleshoni ndipo mudzayang'aniridwa mosamala. Mukadzuka, mudzamva kupweteka pang'ono kwa kanthawi. Ndizachibadwa kumva kupweteka kwa msana. Mudzapatsidwa mankhwala ochepetsa ululu pa izi. Nthawi zambiri mudzakhala m'chipatala kwa tsiku limodzi kapena awiri.

Ndikofunikira kudzuka pabedi ndikuyamba kuyenda mwachangu. Izi zingathandize kupewa magazi kuundana. Dokotala wanu nthawi zambiri amakulangizani kuti mugwiritse ntchito physiotherapy.

Samalirani zinthu izi mukafika kunyumba:

• Musayendetse galimoto: Pewani kuyendetsa galimoto kwa milungu 1-2. Dokotala wanu adzakuuzani zomwe mungachite.
• Pewani kunyamula zinthu zolemera: Pewani kupindika kapena kunyamula zinthu kwa milungu ingapo.
• Sungani zosokerazo zoyera komanso zouma: Popeza zili kumbuyo kwanu, pemphani wina kuti akuthandizeni kutsuka zosokerazo. Funsani dokotala wanu kuti akupatseni malangizo amomwe mungasambitsire.
• Musayende mtunda wautali: Kuyenda pandege ndi galimoto nthawi yayitali kungayambitse magazi kuundana m'miyendo. Ngati muyenera kuyenda, imirirani ndikuyenda ola lililonse.

Nthawi zambiri mumatha kubwerera ku zochita zanu zachizolowezi pakatha milungu 4-6. Komabe, ngati mwakhalanso ndi vuto la msana, zingatenge miyezi iwiri kapena inayi kuti muchire. Ndikofunikira kwambiri kukhala woleza mtima.

Zoopsa ndi zovuta za opaleshoni

Monga opaleshoni iliyonse, opaleshoni ya Laminectomy ili ndi zoopsa zina.

• Kutuluka magazi
• Magazi amaundana
• Matenda pamalo opaleshoni
• Kuwonongeka kwa mitsempha
• Kutuluka kwa madzi a msana (Cerebrospinal Fluid - CSF)
• Msana wofooka

Kodi Post-Laminectomy Syndrome ndi chiyani?

Nthawi zina, kawirikawiri, ululu sumatha kwathunthu pambuyo pa opaleshoni iyi monga momwe amayembekezera. Nthawi zina ululu ukhoza kuwonjezeka ndipo zizindikiro zatsopano zingawonekere. Ichi ndi chomwe timachitcha Post-Laminectomy Syndrome (kapena Failed Back Surgery Syndrome).

Ngati izi zitachitika, pali njira zosiyanasiyana zochiritsira. Choncho ngati ululu ukupitirira pambuyo pa opaleshoni kapena ngati mukukumana ndi zizindikiro zina zachilendo, pitani kwa dokotala mwamsanga.